MS. Susana Long, MSED

NPI #1386070688 in Garden City Park, New York

Provider Information

NPI Number: 1386070688
Entity Type: Individual
Name: MS. Susana Long, MSED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MSED
Enumeration Date: Sep 18, 2013
Last Updated: Sep 18, 2013

Practice Location

Address: 44 4TH AVE
City: Garden City Park
State: New York
ZIP Code: 11040-5009
Phone: (516) 724-6869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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